Botox for neck rings/lines/ necklace or triple neck? (Photo)

Question

I have an old lady neck, I am only 25 anyway of Botox helping me? When I recline or lay down they look even worse.

Muhammad Mirza, MD (license suspended) · Answer

Thank you for your question. Yes, Botox can help eliminate bands around the neck. In our practice we use a combination of Botox and dermal fillers. 
When Botox is injected into the platysma muscle, the muscle relaxes and muscle movement is minimized. Additionally, dermal fillers are used to restore volume to superficial lines. As a result, the skin is smooth and supple.

Jason Emer, MD · Answer

"Injecting soft fillers like Belotero in this area can reduce lines, wrinkles and folds as well as improve skin texture with long-term collagen production. Fillers are being used more frequently to contour and lift rather than solely line fill. Of course, fillers are best used in combination with lasers and microneedling with PRP to get the optimal outcome.

I suggest getting a formal evaluation with a cosmetic dermatologist to create an individualized treatment plan that works for you. Best, Dr. Emer"

I suggest getting a formal evaluation with a cosmetic dermatologist to create an individualized treatment plan that works for you. Best, Dr. Emer"

Mitchel Goldman, MD · Answer

Your neck rings are inherited, as well as due to age and especially photodamage. You can smooth them out by using Botox, Dysport or Xeomin to create what’s called a Nefertiti neck lift. It will last about three to four months. Please consult a board-certified dermatologist who is an expert at creating a smoother, more uplifted neck by using Botox in the platysmal bands.

Anna Petropoulos, MD, FRCS · Answer

Thank you for your question. You are right, in many cases Botox can help horizontal ring-like neck lines. In your case however, it seems like the ring lines are due to a mild skin laxity and thus the best option for you in my opinion, based on your photograph, would be overall neck skin tightening with a radiofrequeny treatment such as ThermiSmooth or Fractora (microneedling with radiofrequency) along with appropriate skin treatment creams such as Defenage and also Sent Neck Firming cream. The best would be for you to be evaluated in person by a board certified specialist who has experience in these treatments and shows high success rates. 
Best of Luck in your quest, 
Anna Petropoulos, MD, FRCS
Bard Certified Facial Plastic Surgeon
North Shore Boston

Michele S. Green, MD · Answer

An in person consultation is needed to evaluate it but it appears from your photos that the best way to treat these wrinkles is with Botox.  This is called the "Nefertiti Lift" and involves placing small amounts of Botox to the neck area to help treat these wrinkles.  These line are genetic and not due to aging.  Please consult an expert in Botox for the best cosmetic results.  Best, Dr. Green

Richard Wellington Swift, MD · Answer

Thank you for posting your photo with your interesting question. It appears that you have some neck rings that can be improved with a hyaluronic acid filler. I recommend that you have a consultation with a Board Certified Plastic Surgeon who is experienced with this procedure. Best wishes,Richard Wellington Swift, M.D., F.A.C.S.

Leonard Grossman, MD · Answer

Let me start by saying that you do not have an old lady's neck. At any point on the body where there's flexion, there will be folds or lines. The lines you see on your neck have been there since birth and they cannot be treated with anything, especially botox. You do have a small amount of submental fat or fat that is present immediately under the chin area which you can address with liposuction. You can see a plastic surgeon like myself and make sure they're well versed in such procedures. Good luck from New York City

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